Feasibility of Mobile Health and Social Media–Based Interventions for Young Adults With Early Psychosis and Clinical Risk for Psychosis: Survey Study

BackgroundDigital technology, the internet, and social media are increasingly investigated as promising means for monitoring symptoms and delivering mental health treatment. These apps and interventions have demonstrated preliminary acceptability and feasibility, but previous...

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Main Authors: Olivia H Franco, Monica E Calkins, Salvatore Giorgi, Lyle H Ungar, Raquel E Gur, Christian G Kohler, Sunny X Tang
Format: Article
Language:English
Published: JMIR Publications 2022-07-01
Series:JMIR Formative Research
Online Access:https://formative.jmir.org/2022/7/e30230
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author Olivia H Franco
Monica E Calkins
Salvatore Giorgi
Lyle H Ungar
Raquel E Gur
Christian G Kohler
Sunny X Tang
author_facet Olivia H Franco
Monica E Calkins
Salvatore Giorgi
Lyle H Ungar
Raquel E Gur
Christian G Kohler
Sunny X Tang
author_sort Olivia H Franco
collection DOAJ
description BackgroundDigital technology, the internet, and social media are increasingly investigated as promising means for monitoring symptoms and delivering mental health treatment. These apps and interventions have demonstrated preliminary acceptability and feasibility, but previous reports suggest that access to technology may still be limited among individuals with psychotic disorders relative to the general population. ObjectiveWe evaluated and compared access to and use of technology and social media in young adults with psychotic disorders (PD), young adults with clinical risk for psychosis (CR), and psychosis-free youths (PF). MethodsParticipants were recruited through a coordinated specialty care clinic dedicated toward early psychosis as well as ongoing studies. We surveyed 21 PD, 23 CR, and 15 PF participants regarding access to technology and use of social media, specifically Facebook and Twitter. Statistical analyses were conducted in R. Categorical variables were compared among groups using Fisher exact test, continuous variables were compared using 1-way ANOVA, and multiple linear regressions were used to evaluate for covariates. ResultsAccess to technology and social media were similar among PD, CR, and PF participants. Individuals with PD, but not CR, were less likely to post at a weekly or higher frequency compared to PF individuals. We found that decreased active social media posting was unique to psychotic disorders and did not occur with other psychiatric diagnoses or demographic variables. Additionally, variation in age, sex, and White versus non-White race did not affect posting frequency. ConclusionsFor young people with psychosis spectrum disorders, there appears to be no “technology gap” limiting the implementation of digital and mobile health interventions. Active posting to social media was reduced for individuals with psychosis, which may be related to negative symptoms or impairment in social functioning.
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spelling doaj.art-c3b5c22b0f364eb4bc1c9fcd9bc7fd3a2023-08-28T22:42:46ZengJMIR PublicationsJMIR Formative Research2561-326X2022-07-0167e3023010.2196/30230Feasibility of Mobile Health and Social Media–Based Interventions for Young Adults With Early Psychosis and Clinical Risk for Psychosis: Survey StudyOlivia H Francohttps://orcid.org/0000-0002-5326-3918Monica E Calkinshttps://orcid.org/0000-0002-0546-0263Salvatore Giorgihttps://orcid.org/0000-0001-7381-6295Lyle H Ungarhttps://orcid.org/0000-0003-2047-1443Raquel E Gurhttps://orcid.org/0000-0002-4082-8502Christian G Kohlerhttps://orcid.org/0000-0003-2203-7966Sunny X Tanghttps://orcid.org/0000-0002-4001-8120 BackgroundDigital technology, the internet, and social media are increasingly investigated as promising means for monitoring symptoms and delivering mental health treatment. These apps and interventions have demonstrated preliminary acceptability and feasibility, but previous reports suggest that access to technology may still be limited among individuals with psychotic disorders relative to the general population. ObjectiveWe evaluated and compared access to and use of technology and social media in young adults with psychotic disorders (PD), young adults with clinical risk for psychosis (CR), and psychosis-free youths (PF). MethodsParticipants were recruited through a coordinated specialty care clinic dedicated toward early psychosis as well as ongoing studies. We surveyed 21 PD, 23 CR, and 15 PF participants regarding access to technology and use of social media, specifically Facebook and Twitter. Statistical analyses were conducted in R. Categorical variables were compared among groups using Fisher exact test, continuous variables were compared using 1-way ANOVA, and multiple linear regressions were used to evaluate for covariates. ResultsAccess to technology and social media were similar among PD, CR, and PF participants. Individuals with PD, but not CR, were less likely to post at a weekly or higher frequency compared to PF individuals. We found that decreased active social media posting was unique to psychotic disorders and did not occur with other psychiatric diagnoses or demographic variables. Additionally, variation in age, sex, and White versus non-White race did not affect posting frequency. ConclusionsFor young people with psychosis spectrum disorders, there appears to be no “technology gap” limiting the implementation of digital and mobile health interventions. Active posting to social media was reduced for individuals with psychosis, which may be related to negative symptoms or impairment in social functioning.https://formative.jmir.org/2022/7/e30230
spellingShingle Olivia H Franco
Monica E Calkins
Salvatore Giorgi
Lyle H Ungar
Raquel E Gur
Christian G Kohler
Sunny X Tang
Feasibility of Mobile Health and Social Media–Based Interventions for Young Adults With Early Psychosis and Clinical Risk for Psychosis: Survey Study
JMIR Formative Research
title Feasibility of Mobile Health and Social Media–Based Interventions for Young Adults With Early Psychosis and Clinical Risk for Psychosis: Survey Study
title_full Feasibility of Mobile Health and Social Media–Based Interventions for Young Adults With Early Psychosis and Clinical Risk for Psychosis: Survey Study
title_fullStr Feasibility of Mobile Health and Social Media–Based Interventions for Young Adults With Early Psychosis and Clinical Risk for Psychosis: Survey Study
title_full_unstemmed Feasibility of Mobile Health and Social Media–Based Interventions for Young Adults With Early Psychosis and Clinical Risk for Psychosis: Survey Study
title_short Feasibility of Mobile Health and Social Media–Based Interventions for Young Adults With Early Psychosis and Clinical Risk for Psychosis: Survey Study
title_sort feasibility of mobile health and social media based interventions for young adults with early psychosis and clinical risk for psychosis survey study
url https://formative.jmir.org/2022/7/e30230
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